Clinical coding secrets (16)

Clinical coding secrets (16)

By Dr.Sedeek El Hakeem (MBBS, TQM, cert.CII, IFCE)

Today I’ll present a new dose of Clinical coding secrets, I have been

abstracted them from my reading Australian Coding Standards and practicing Australian clinical coding(ICD10AM,ACHI) at a private general hospital (150 beds) in KSA

Long Term/Nursing Home Type Inpatients

Due to the lack of nursing home and other types of support services in some areas, patients may be admitted to hospitals as long term residents or nursing home type patients. These admissions may arise as a direct admission from home (or elsewhere) without the need for acute care, or as an episode type change where the patient is no longer receiving acute care. (Refer to the Health Data Standards Committee (2006), National Health Data Dictionary, Version 13, AIHW for definitions of 'Care type' and 'Acute care'.)

In such cases, a code from the category Z75 Problems related to medical facilities and other health care should be assigned as the principal diagnosis. Any conditions which subsequently arise during this episode of care, should be coded as additional diagnoses (according to ACS 0002 Additional diagnoses).

When patients are admitted for treatment of an acute problem and then remain in hospital as a long term resident or nursing home type patient, and the episode care type is not changed, then the acute condition should be coded as the principal diagnosis and a Z75.- code assigned as an additional diagnosis.

Today I have been presented a new dose of Clinical coding secrets; I hope this dose will help you to sail safely in the sea of clinical coding as you know coding translates medical service into money 
Next time I’ll provide a new dose of Clinical coding secrets

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